Comparison Between Endometrial Thickness by TVS And Endometrial Histopathology in Postmenopausal Women

Authors

1 Professor of Obstetrics and Gynecology, Faculty of Medicine, Al- Azhar University, Cairo, Egypt;

2 Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

3 MBBcH of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: The ability to observe the female reproductive organs up close, which is not possible with transabdominal ultrasonography, makes transvaginal ultrasound imaging distinctive. Additionally, this is a closer-up imaging technique without the use of ionizing radiation, in contrast to computer tomography (CT). Aim and objectives: To compare endometrial histology with TVS for the purpose of diagnosing endometrial pathology, if any is present. Subjects and methods: The current investigation was carried out at the Al-Azhar University Hospitals' obstetrics and gynecology clinics. The Study duration started from September 2022 until September 2023. In this study, 50 postmenopausal women received TVS and endometrial biopsy, depending on the indication. Result: The patients' mean age was 58.63±7.12 years, and their mean BMI was 27.54 kg/m2 which represents 56.5% of the patients whom from rural areas. TVS showed a significant sensitivity (81.4%) and specificity (73.2%) in diagnosing endometrial disease based on endometrial thickness. Conclusion: TVS is more accurate and detecting endometrial pathology with sensitivity of 81.4% and specificity of 73.2%.

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